ATI CMS FUNDAMENTAL EXAM: ULTIMATE
REVIEW GUIDE WITH PRACTICE ǪUESTIONS,
ANSWERS, AND TEST- TAKING STRATEGIES
[Document subtitle]
, ATI CMS Fundamental Exam: Ultimate Review
Guide with Practice Ǫuestions, Answers, and Test-
Taking Strategies
Chapter 14: Body Mechanics
Question 1: Proper Body Mechanics
A caregiver educator is reviewing proper body mechanics during employee orientation. Which
of the following statements should the caregiver identify as an indication that an attendee
understands the teaching? (Select all that apply)
A. My line of gravity should fall outside my base of support
B. The lower my center of gravity, the more stability I have ✅
C. To broaden my base of support, I should spread my feet apart ✅
D. When I lift an object, I should hold it as close to my body as possible ✅
E. When pulling an object, I should move my front foot forward
Rationale:
A (Incorrect): The line of gravity should be within the base of support for stability.
B (Correct): A lower center of gravity increases stability.
C (Correct): A wider base of support enhances balance.
D (Correct): Holding objects close to the body reduces strain on the muscles.
E (Incorrect): While proper foot positioning is important, the movement should be
controlled based on task demands.
Question 2: Injury Prevention Guidelines
A caregiver manager is reviewing injury prevention guidelines with a staff caregiver. Which of
the following instructions should the caregiver monitor include? (Select all that apply.)
[1]
, A. Request assistance when repositioning the client ✅
B. Avoid twisting your spine or bending at the waist ✅
C. Use smooth movements when lifting and moving clients
D. Take a break from repetitive movements every 2 to 3 hours to flex and stretch your joints
and muscles ✅
Rationale:
A (Correct): Using assistance reduces the risk of injury.
B (Correct): Twisting and bending increase strain on the spine.
C (Incorrect): While smooth movements are recommended, this option lacks
specificity regarding body mechanics.
D (Correct): Taking breaks prevents muscle fatigue and joint strain.
Question 3: Orthopneic Position for COPD
A caregiver is instructing a client who has COPD about using the orthopneic position to relieve
shortness of breath. Which of the following statements should the caregiver make?
A. Lie on your back with your head and shoulders supported by a pillow
B. Have your head turned to the side while you lie on your stomach
C. Have a table beside your bed so that you can sit on the bedside and rest your arms on
the table ✅
D. Lie on your side with your top arm resting on the bed
Rationale:
C (Correct): The orthopneic position involves sitting upright and leaning forward to
promote lung expansion.
Chapter 22: Puberty in Males
Question 4: First Physical Change in Puberty (Males)
A caregiver is teaching the guardian of a 12-year-old male client about manifestations of
puberty. The caregiver should explain that which of the following physical changes occurs
first?
[2]
, A. Appearance of downy hair on the upper lip
B. Hair growth in the axillae
C. Enlargement of the testes and scrotum ✅
D. Deepening of the voice
Rationale:
C (Correct): The first sign of puberty in boys is testicular enlargement.
Chapter 31: Musculoskeletal System
Question 5: Shoulder Pain and Functional Limitations
A caregiver is caring for a client who reports pain with internal rotation of the right shoulder.
This discomfort can affect the client’s ability to perform which of the following activities?
A. Exercising the deltoid muscle when using hand weights
B. Brushing their hair on the back of the head
C. Fastening or zipping closures on the back while dressing ✅
D. Reaching into a cabinet above the sink
Rationale:
C (Correct): Internal rotation of the shoulder is required for fastening or zipping
closures on the back.
Chapter 33: Family Crisis and Coping Strategies
Question 6: Family Coping with Crisis
A caregiver is caring for a family who is experiencing a crisis. Which of the following
approaches should the caregiver use when working with the family using an open structure
for coping with crisis?
A. Prescribing tasks unilaterally
B. Delegating care to one member
C. Speaking to the primary client privately
D. Convening a family meeting ✅
Rationale:
[3]
REVIEW GUIDE WITH PRACTICE ǪUESTIONS,
ANSWERS, AND TEST- TAKING STRATEGIES
[Document subtitle]
, ATI CMS Fundamental Exam: Ultimate Review
Guide with Practice Ǫuestions, Answers, and Test-
Taking Strategies
Chapter 14: Body Mechanics
Question 1: Proper Body Mechanics
A caregiver educator is reviewing proper body mechanics during employee orientation. Which
of the following statements should the caregiver identify as an indication that an attendee
understands the teaching? (Select all that apply)
A. My line of gravity should fall outside my base of support
B. The lower my center of gravity, the more stability I have ✅
C. To broaden my base of support, I should spread my feet apart ✅
D. When I lift an object, I should hold it as close to my body as possible ✅
E. When pulling an object, I should move my front foot forward
Rationale:
A (Incorrect): The line of gravity should be within the base of support for stability.
B (Correct): A lower center of gravity increases stability.
C (Correct): A wider base of support enhances balance.
D (Correct): Holding objects close to the body reduces strain on the muscles.
E (Incorrect): While proper foot positioning is important, the movement should be
controlled based on task demands.
Question 2: Injury Prevention Guidelines
A caregiver manager is reviewing injury prevention guidelines with a staff caregiver. Which of
the following instructions should the caregiver monitor include? (Select all that apply.)
[1]
, A. Request assistance when repositioning the client ✅
B. Avoid twisting your spine or bending at the waist ✅
C. Use smooth movements when lifting and moving clients
D. Take a break from repetitive movements every 2 to 3 hours to flex and stretch your joints
and muscles ✅
Rationale:
A (Correct): Using assistance reduces the risk of injury.
B (Correct): Twisting and bending increase strain on the spine.
C (Incorrect): While smooth movements are recommended, this option lacks
specificity regarding body mechanics.
D (Correct): Taking breaks prevents muscle fatigue and joint strain.
Question 3: Orthopneic Position for COPD
A caregiver is instructing a client who has COPD about using the orthopneic position to relieve
shortness of breath. Which of the following statements should the caregiver make?
A. Lie on your back with your head and shoulders supported by a pillow
B. Have your head turned to the side while you lie on your stomach
C. Have a table beside your bed so that you can sit on the bedside and rest your arms on
the table ✅
D. Lie on your side with your top arm resting on the bed
Rationale:
C (Correct): The orthopneic position involves sitting upright and leaning forward to
promote lung expansion.
Chapter 22: Puberty in Males
Question 4: First Physical Change in Puberty (Males)
A caregiver is teaching the guardian of a 12-year-old male client about manifestations of
puberty. The caregiver should explain that which of the following physical changes occurs
first?
[2]
, A. Appearance of downy hair on the upper lip
B. Hair growth in the axillae
C. Enlargement of the testes and scrotum ✅
D. Deepening of the voice
Rationale:
C (Correct): The first sign of puberty in boys is testicular enlargement.
Chapter 31: Musculoskeletal System
Question 5: Shoulder Pain and Functional Limitations
A caregiver is caring for a client who reports pain with internal rotation of the right shoulder.
This discomfort can affect the client’s ability to perform which of the following activities?
A. Exercising the deltoid muscle when using hand weights
B. Brushing their hair on the back of the head
C. Fastening or zipping closures on the back while dressing ✅
D. Reaching into a cabinet above the sink
Rationale:
C (Correct): Internal rotation of the shoulder is required for fastening or zipping
closures on the back.
Chapter 33: Family Crisis and Coping Strategies
Question 6: Family Coping with Crisis
A caregiver is caring for a family who is experiencing a crisis. Which of the following
approaches should the caregiver use when working with the family using an open structure
for coping with crisis?
A. Prescribing tasks unilaterally
B. Delegating care to one member
C. Speaking to the primary client privately
D. Convening a family meeting ✅
Rationale:
[3]
